Healthcare Provider Details

I. General information

NPI: 1598954810
Provider Name (Legal Business Name): JASMINE S ALLEXI D.C., L. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 E 1ST AVE SUITE 360
DENVER CO
80206-5810
US

IV. Provider business mailing address

3300 E 1ST AVE SUITE 360
DENVER CO
80206-5810
US

V. Phone/Fax

Practice location:
  • Phone: 303-322-9164
  • Fax:
Mailing address:
  • Phone: 303-322-9164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4824
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1025
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: